Individual provider · Type 1 NPI

Shanna Miko, MSN RN-BC CPN CCRN

Pediatric Registered Nurse · Plymouth, MN

NPI number 1194289389 Active

Practice location

4655 Yellowstone Ln N
Plymouth, MN 55446-3764

Call (314) 680-5592 Map

Specialties and licenses

TaxonomyCodeLicense
Pediatric Registered Nurse Primary 163WP0200XR2023506 (MN)

Pediatric Registered Nurse: Definition to come...

About NPI 1194289389

Shanna Miko, MSN RN-BC CPN CCRN's National Provider Identifier is 1194289389, issued on Jan 22, 2019. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Plymouth, MN. The record was last updated on Jan 22, 2019.